weekly polio update nigeria

Weekly Polio Update Nigeria

March 7, 2014

As at March 7, 2014 Nigeria has:-• 1 confirmed WPV1 in 1 State

compared to 4 cases in 4 States for the same period in 2013. o Date of onset of latest case

is February 1, 2014 • There have been no confirmed

WPV3 since November 2012.• There are no confirmed

circulating vaccine derived poliovirus (cVDPV2) just as same period in 2013.

Nigeria polio cases as at Week 10, 2014

W1 (n=1)

W3 (n=0)

# Infected States: 1

Nigeria Wild poliovirus distribution 2013 & 2014 as at week 10, 2014

2013 2014

W1 (n=4)

W3 (n=0)

# Infected States: 4

W1 (n=1)

W3 (n=0)

# Infected State: 1

2013 2014

# Infected State: 0cVDPV2 (n=0)

# Infected State: 0cVDPV2 (n=0)

Nigeria cVDPV2 distribution, 2013 & 2014 as at week 10, 2014

Nigeria: Polio Compatible Cases Jan – Dec, 2013 as at week 10, 2014

Clustering of compatible cases in 2013

Compatibles (n= 79)Infected LGAs = 61

States LGAs WardsDate onset of paralysis

FCT, Abuja Municipal Area Council

Kabusa 15/08/2013Kubwa 25/08/2013Gui 15/11/2013Kabusa 27/11/2013

Kaduna Kaduna SouthTudun Wada South 23/04/2013Badiko 27/05/2013

Kano KarayeMagajin Gari 15/05/2013Kafi 28/05/2013Kwanyawa 28/05/2013

KatsinaFuntua

Maigamji 20/04/2013Dukke 20/05/2013Tudun Iya 03/06/2013

Matazu Kogari 15/06/2013Dissi 13/08/2013

Niger Bosso Bosso II 24/01/2013Garatu 19/03/2013

Sokoto Illela Kalmalo 08/08/2013Illela 08/10/2013

No polio-compatible cases in 2014, however there 79 cases in 2013.

Latest onset of confirmed WPV was 01-Feb-2014 from Gaya LGA, Kano State.

2013 - 2014 WPV & cVDPV2 cases by Zone and State as at week 10, 2014

WPV 1 Epidemiology

WPV 1 monthly onset, with targeted SIAs 2008 – 2013 as at week 10, 2014

WPV 1 monthly onset, with targeted SIAs 2012 – 2014 as at week 10, 2014

NB: PI = Primary Isolation; ITD = Intratypic Differentiation

WPV1 cases 2012 – 2014 by week and samples pending lab results for 2014 (PI & ITD) as at week 10, 2014

Weeks Wk4'14 Wk5'14 Wk6'14 Wk7'14 Wk8'14 Wk9'14 Wk10'14Pending PI 1 2 6 73 182 103 3Pending ITD 0 1 4 6 0 0 0

Nigeria Distribution of WPV1-infected LGAs by quarter, 2012 – 2014 as at week 10, 2014

Qter_1’13 Qter_2’13

# Infected LGAs 13WPV1 (n=18)

# Infected LGAs: 14WPV1 (n= 19)

Qter_3’13Qter_4’13

# Infected LGAs: 12WPV1 (n= 13)# Infected LGAs: 3

WPV1 (n= 3)

Qter_1’14*

Qter_4’12

# Infected LGAs: 15WPV1 (n=20)


• Cases pending lab confirmation in 2014: 1 (January 2014), 367 (February 2014) and 13 (March 2014)• Latest Onset WPV1 was 01/02/2014. note no pending lab results for 2013

Nigeria Distribution of WPV1-infected LGAs in last 6 month: Oct 2013 – Mar 2014 as at week 10, 2014

Oct’13


Nov’13

• Cases pending lab confirmation in 2014: 1 (January 2014), 367 (February 2014) and 13 (March 2014)• Latest Onset WPV1 was 01/02/2014. note no pending lab results for 2013

Dec’13




Jan’14*


Feb’14*


Mar’14*

WPV 3 Epidemiology

WPV 3 monthly onset, with targeted SIAs, 2009 – 2014 as at week 10, 2014

WPV 3 monthly onset, with targeted SIAs, 2010 – 2014 as at week 10, 2014

NB: PI = Primary Isolation; ITD = Intratypic Differentiation

WPV3 cases 2012 – 2014 by week and samples pending lab results (PI & ITD) for 2013 as at week 10, 2014

Weeks Wk4'14 Wk5'14 Wk6'14 Wk7'14 Wk8'14 Wk9'14 Wk10'14Pending PI 1 2 6 73 182 103 3Pending ITD 0 1 4 6 0 0 0

Nigeria Distribution of WPV3-infected LGAs by quarter, 2012 – 2014 as at week 10, 2014


Qter_4’12


Qter_1’13


Qter_3’13


Qter_2’13


Qter_4’13


Qter_1’14*

* Cases pending lab confirmation in 2014: 1 (January 2014), 367 (February 2014) and 13 (March)- Latest Onset WPV3 was 10/11/2012. No pending lab results for 2013

Nigeria Distribution of WPV3-infected LGAs in last 6 months Oct 2013 – Mar 2014 as at week 10, 2014


Oct’13


Nov’13


Dec’13

Jan’14*


Feb’14*


* Cases pending lab confirmation in 2014: 1 (January 2014), 367 (February 2014) and 13 (March)- Latest Onset WPV3 was 10/11/2012. No pending lab results for 2013

Mar’14*


cVDPV2

0

5

10

15

20

25

30

35Ja

n'09

Feb

Mar

Apr

May Jun

Jul

Aug Sep

Oct

Nov

Dec

Jan'

10Fe

bM

arA

prM

ay Jun

Jul

Aug Sep

Oct

Nov

Dec

Jan'

11Fe

bM

arA

prM

ay Jun

Jul

Aug Sep

Oct

Nov

Dec

Jan'

12Fe

bM

arA

prM

ay Jun

Jul

Aug Sep

Oct

Nov

Dec

Jan'

13Fe

bM

arA

prM

ay Jun

Jul

Aug Sep

Oct

Nov

Dec

Jan'

14Fe

bM

ar

No

of c

ases

cVDPV2 cases by month 2009 – 2013 as at week 10, 2014

Nigeria Distribution of cVDPV2 by LGAs/quarter, 2012 – 2014 as at week 10, 2014

Latest Onset for cVDPV2 was 24/12/2013.

Qter_4, 2012

# Infected LGAs: 1cVDPV2 (n=2)


Qter_2, 2013Qter_1, 2013

Qter_3, 2013Qter_4, 2013





Qter_1, 2014

Age and OPV doses of WPV cases

< 12 mths9%48 - 59

mths9%

36 - 47 mths15%

24 - 35 mths27%

12 - 23 mths29%

60 + mths11%

Age 2013 (n=53)

65% < 3 yrs

< 12 mths9%

48 - 59 mths9%

36 - 47 mths15%

24 - 35 mths35%

12 - 23 mths26%

60 + mths6%

Age 2012 (n=122)

70% < 3 yrs

Age group of WPV cases 2012 and 2013, as at week 10, 2014

3 doses17%

1-2 doses25%

> 3 doses47%

0 dose11%

OPV status 2013 (n=53)

36% < 3 doses

OPV status 2012 (n=122)

47% < 3 doses

0 dose22%

> 3 doses42%

1-2 doses25%

3 doses11%

OPV status of WPV cases 2012 and 2013 as at week 10, 2014

3 doses8%

1-2 doses5%

> 3 doses86%

0 dose1%

OPV status 2013 (n=5,859)

6% < 3 doses

OPV status 2012 (n=5,274)

9% < 3 doses

0 dose2%

> 3 doses80%

1-2 doses7%

3 doses11%

Nigeria OPV status of non-polio AFP cases 6 – 59 mths, 2012 – 2013 as at week 10, 2014

Summary Tables

WPV type by week of onset from week 10, 2013 – week 10, 2014

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10

Kano 1 1 1 1 2 3 1 1 1 1 1 1

Borno 1 2 1 2 1 1 1 1 1 1 1

Bauchi 1 2 1 1

Taraba 1 1 1

Yobe 1 1 1 1

Niger 1

GombeTOTAL 0 0 2 3 1 3 0 3 1 0 1 0 1 2 3 1 2 2 3 1 1 1 0 2 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0

Legend - W1- W3- W1 &W3

2014

WeeksWeeksState2013WPV

cVDPV

3rd Round SIPDs13 - 16 Apr , 2013

bOPV

4th Round SIPDs11 - 14 May,

2013

bOPV

5th Round SIPDs15 - 18 Jun,

2013

bOPV

6th Round SIPDs6 - 9 Jul,

2013

bOPV

7th Round SIPDs7 - 10 Sep,

2013

bOPV

8th Round IMC5 - 8 Oct,

2013

bOPV

9th Round SIPDs15 - 18 Nov,

2013

bOPV

10th Round SIPDs14 - 17 Dec,

2013

bOPV


2013

tOPV

1st Round SIPDs25 - 28 Jan,

2014

bOPV

2nd Round NIDs1 - 4 Mar,

2014

bOPV

cVDPV2 by week of onset from week 10, 2013 – week 10, 2014

tOPV was administered in 4 LGAs (Mafa, Maiduguri, Jere and Konduga) Borno State in December, 2013

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10Borno 1 1 1 1Adamawa 1

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0

Legend - cVDPV2

Weeks

2014

WeeksState

2013cVDPV


2013

tOPV

2013/2014 WPV cases, Pending PI and ITD, as at week 10, 2014

* HR States; NB: PI = Primary Isolation; ITD = Intratypic Differentiation

Pending PI Pending ITD WPV Cases Pending PI Pending ITD WPV Cases Pending PI Pending ITD WPV Cases Pending PI Pending ITD WPV Cases Pending PI Pending ITD WPV Cases Pending PI Pending ITD WPV Cases Pending PI Pending ITD WPV CasesAbia 12 4Adamawa 9Akwa Ibom 16Anambra 4Bauchi* 1 4 1 20Bayelsa 4Benue 1 1Borno* 7 6 3 11 1Cross River 2Delta 17Ebonyi 5Edo 13 2Ekiti 11 1Enugu 7FCT 1 4Gombe* 1 4Imo 8Jigawa* 7Kaduna* 9 1Kano* 1 4 8 2 25 1 1Katsina* 13Kebbi* 25 2 1Kogi 1 5 1Kwara 4Lagos 16 1Nasarawa 1 8Niger* 1 12Ogun 10 1 3Ondo 7 1Osun 6Oyo 11Plateau 13Rivers 4Sokoto* 8 2Taraba 2 1 11Yobe* 5 2 1 2 1Zamfara* 12 1Grand Total 0 0 18 0 0 18 0 0 14 0 0 3 1 0 0 356 11 1 13 0 0

WPV Cases 53 WPV Cases 1Pending PI 0 Pending PI 370Pending ITD 0 Pending ITD 11

March 2014February 2014States January 2014

Summary 2013 Summary 2014

January - March 2013 October - December 2013July - September 2013April - June 2013

Status of Laboratory results 2011- 2013(2013 data is as at March 7, 2014)

Date 07/03/2014

Months/YearsAFP

Cases

AFP Cases w/ No stool samples

# Primary Results

# Negative Results

Pending PI results

% Late Results*

% NPENT

Pending ITD results WPV1 WPV3 VDPV2 Sabin Pe

ndin

g Cl

assi

ficat

ion

Week # 10

Total 2011 6108 8 6095 5562 0 9% 12% 0 47 15 35 444 0Jan-12 292 0 292 271 0 7% 14% 0 4 1 0 16 0Feb-12 673 1 672 549 0 2% 15% 0 9 3 0 112 0Mar-12 738 0 738 633 0 7% 16% 0 9 4 0 92 0Apr-12 573 2 571 526 0 5% 18% 0 5 3 2 37 0May-12 774 0 774 715 0 2% 27% 0 9 1 0 49 0Jun-12 668 0 668 634 0 4% 24% 0 12 2 0 20 0Jul-12 720 1 719 655 0 26% 21% 0 16 2 0 47 0

Aug-12 597 0 597 571 0 2% 18% 0 10 1 2 13 0Sep-12 654 0 654 592 0 2% 18% 0 9 1 2 50 0Oct-12 577 0 577 523 0 1% 14% 0 9 0 0 45 0Nov-12 575 1 574 503 0 0% 13% 0 9 1 2 60 0Dec-12 398 0 398 365 0 1% 9% 0 2 0 0 31 0

Total 2012 7239 5 7234 6537 0 5% 17% 0 103 19 8 572 0Jan-13 686 3 683 623 0 3% 8% 0 4 0 0 59 0Feb-13 725 1 724 629 0 6% 14% 0 7 0 0 89 1Mar-13 690 1 689 628 0 4% 16% 0 7 0 0 55 0Apr-13 713 1 712 661 0 1% 21% 0 7 0 0 45 1May-13 769 1 768 707 0 1% 21% 0 2 0 0 60 0Jun-13 794 0 794 711 0 1% 21% 0 9 0 1 73 0Jul-13 758 0 758 713 0 2% 19% 0 7 0 0 38 1

Aug-13 745 1 744 715 0 3% 14% 0 4 0 0 26 0Sep-13 831 2 829 784 0 2% 14% 0 3 0 0 44 0Oct-13 771 0 771 719 0 7% 14% 0 2 0 1 49 0Nov-13 747 0 747 674 0 15% 11% 0 0 0 2 71 1Dec-13 415 0 415 379 0 19% 9% 0 1 0 1 34 0

Total 2013 8644 10 6701 6171 0 2% 15% 0 53 0 5 643 4Jan-14 762 0 761 686 1 1% 9% 0 0 0 0 75 49Feb-14 714 0 358 344 356 1% 7% 11 1 0 0 2 232Mar-14 13 0 0 0 13 0% 0% 0 0 0 0 0 13

Polio High Risk States

2012 2013 2012 2013 2012 2013 2012 2013216 292 6 3 23% 22% 02/09/2013 6162 182 3 17 5 22% 24% 15/12/2013 3106 266 2 1 12% 12% 25/01/2013 13155 208 1 29% 21% 19/02/2013 13216 201 7 1 32% 22% 22/10/2012 16180 293 14 2 14% 14% 17/11/2012 15467 527 23 15 4 28% 27% 01/02/2014 1191 382 34 25% 22% 27/11/2012 15221 556 19% 12% 20/07/2011 31183 288 1 1 17% 14% 29/01/2013 13260 249 2 1 13% 13% 21/03/2013 11203 329 8 15% 10% 10/09/2012 18172 231 3 1 28% 21% 17/08/2013 7144 152 3 8 3 23% 22% 18/07/2013 8201 239 6 17% 16% 01/07/2012 20

3077 4395 103 53 19 0 14% 18%

Katsina

Total

Niger

Notes: *=Late results are those reported by the laboratory after 14 days. OPV Status of non-polio AFP Cases < 60 months is based on data collected by interviewing parents/guardians of AFP Cases.

0

Taraba

Months Since Last

CasePending PI

Results

Zamfara

Kano

Borno

KadunaJigawaGombe

Kebbi

Yobe

Sokoto

Bauchi

Status of Laboratory Specimens-Nigeria

AFPCasesState

Date Last Confirmed

Case% NPENTWPV3WPV1

FCT, Abuja

Nasarawa

Nigeria OPV status of non-polio AFP cases 6 – 59 mths, 2011 – 2013 as at week 10, 2014

2011 2012 2013 2011 2012 2013 2011 2012 2013 2011 2012 2013Abia 3% 3% 4% 17% 19% 9% 29% 28% 32% 51% 50% 55%Adamawa 2% 0% 1% 3% 6% 4% 3% 9% 6% 92% 85% 89%Akwa Ibom 2% 5% 0% 12% 10% 10% 21% 15% 22% 65% 70% 69%Anambra 4% 0% 1% 12% 13% 13% 28% 35% 35% 57% 53% 51%Bauchi 0% 2% 1% 4% 7% 3% 8% 9% 5% 88% 82% 92%Bayelsa 0% 0% 0% 3% 2% 2% 5% 7% 7% 92% 91% 92%Benue 1% 1% 3% 4% 9% 10% 10% 16% 14% 84% 74% 74%Borno 11% 2% 9% 13% 11% 9% 14% 10% 8% 62% 77% 76%Cross River 0% 0% 1% 10% 11% 7% 17% 17% 10% 73% 72% 81%Delta 4% 1% 1% 5% 5% 1% 14% 12% 5% 77% 83% 93%Ebonyi 1% 0% 0% 2% 8% 3% 5% 8% 10% 93% 84% 87%Edo 1% 0% 0% 2% 1% 6% 6% 9% 5% 91% 90% 89%Ekiti 0% 0% 0% 10% 0% 0% 24% 15% 2% 66% 85% 98%Enugu 1% 0% 1% 4% 7% 7% 19% 10% 15% 76% 83% 77%FCT 3% 3% 1% 1% 6% 2% 10% 6% 4% 86% 86% 93%Gombe 0% 3% 1% 4% 5% 4% 2% 5% 1% 95% 88% 94%Imo 1% 0% 2% 7% 1% 1% 25% 8% 10% 67% 91% 87%Jigawa 1% 1% 0% 8% 4% 1% 14% 15% 3% 77% 80% 96%Kaduna 4% 4% 1% 4% 11% 4% 11% 6% 4% 81% 79% 91%Kano 7% 4% 2% 14% 14% 8% 15% 8% 9% 64% 74% 81%Katsina 5% 5% 2% 9% 12% 2% 13% 6% 1% 73% 77% 95%Kebbi 2% 0% 0% 2% 1% 0% 6% 3% 1% 90% 96% 99%Kogi 0% 1% 0% 4% 6% 4% 7% 6% 8% 90% 88% 87%Kwara 0% 0% 2% 2% 5% 6% 15% 12% 14% 84% 83% 78%Lagos 0% 0% 0% 4% 3% 3% 11% 17% 7% 84% 80% 90%Nasarawa 3% 1% 2% 3% 6% 7% 6% 3% 5% 87% 90% 86%Niger 0% 1% 1% 3% 4% 0% 4% 3% 2% 94% 93% 97%Ogun 0% 0% 2% 5% 4% 6% 4% 6% 15% 92% 90% 77%Ondo 0% 0% 0% 4% 0% 7% 4% 12% 7% 93% 88% 85%Osun 0% 2% 4% 15% 15% 9% 24% 12% 22% 61% 71% 65%Oyo 1% 0% 0% 1% 2% 1% 4% 4% 2% 94% 94% 97%Plateau 3% 0% 2% 5% 1% 7% 7% 5% 3% 86% 94% 88%Rivers 1% 1% 0% 7% 13% 10% 33% 28% 30% 58% 58% 60%Sokoto 3% 4% 0% 16% 8% 3% 16% 15% 4% 65% 74% 92%Taraba 2% 2% 0% 14% 6% 5% 23% 14% 5% 61% 79% 90%Yobe 0% 1% 5% 14% 10% 13% 23% 17% 9% 63% 72% 74%Zamfara 2% 3% 0% 11% 15% 5% 14% 17% 5% 74% 66% 91%Total 2% 1% 1% 7% 7% 5% 13% 12% 8% 78% 80% 86%

State% 3 Doses % > 3 Doses

OPV Status of non-polio AFP Cases 6 to 59 months of age, for which data is available.

% 0 Doses % 1-2 Doses

2012

Two AFP surveillance core indicators are NP AFP rate > 2/100,000 children under age of 15 years and % stool adequacy of >80%

2013

LGAs not meeting both indicators (79)

LGAs meeting both indicators (695)

LGAs reporting no AFP (0)

LGAs not meeting both indicators (62)

LGAs meeting both indicators (712)

LGAs reporting no AFP (0)

LGAs meeting 2 AFP Surveillance core indicators, 2012/2013 as at week 10, 2014

In 2013, Environmental surveillance detected 2 WPV1 in Sokoto State and 16 cVDPV2 (Sokoto 6, Kano 2 and Borno 8). 4 cVDPV2 (Kano 1 and Borno 3) in 2014

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10Jakara Police Station

Gogau Fagge Station Kurna Masallachi Station

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10Kofar Dundaye

Kofar KwareTudun WadaRumbukawa

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10Otumara Ilaje Bridge

Ijora Canan Site Maracana Field

Alh Jimoh Street `Makoko

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10Limancin Kaura Junction

Rigasa

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10Wupa Treatment PlantOK Pure Water Lugbe

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10GONI ADAM JUNCTION

ABBA GANARAM FILLNI ST.GAMBORU MARKET BRIDGE

BUDUM ROUND ABOUT

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2 3 4 5 6 7 8 9 10RAFIU ATIKU BRIDGE

TALAKAU SITETUDUN WADA

WPV1 WPV3 cVDPV2 Negative for WPV Result pending Update: 7 March 2014

WPV1 + cVDPV2

Site NameEpidemiological Week 2013

Epidemiological Week 2013

Site Name

Site Name

Site Name

Site Name



Site NameEpidemiological Week 2013







Epidemiological Week 2014KEBBI

KANO

SOKOTO

LAGOS

KADUNA

FEDERAL CAPITAL TERRITORY (FCT)

BORNO

Epidemiological Week 2013Site Name


Tracking of Environmental Samples, week 9, 2013 – week 10, 2014

SIAs 2013

bOPV

tOPV

Non -Implementing States/LGAs

Feb’13Jan’13 Mar’13

Apr’13

May’13Jun’13Jul’13

bOPV

YF + bOPV

Sep’13 Oct’13

Nov’13Dec’13

IMC + bOPV

MenAfrivac + bOPV

Not Implementing

Scope of Polio SIAs and harmonization with non-Polio SIAs, Nigeria September– December 2013

Trends of LQA Results in 11 HR States

Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Sep-13 Nov-13 Dec-13 Jan-14 Mar-14

LGAs surveyed 52 52 70 69 66 75 57 60 82 81 83>=90% 40% 33% 26% 28% 35% 35% 30% 37% 48% 54% 63%80 - 89.9 % 19% 21% 24% 32% 23% 35% 47% 30% 28% 35% 24%60 - 79.9 % 33% 29% 37% 32% 33% 25% 21% 30% 21% 10% 12%< 60% 8% 17% 13% 9% 9% 5% 2% 3% 4% 1% 1%

Trends in LQAs from the 85 High Risk LGAs*

Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Sep-13 Nov-13 Dec-13 Jan-14 Mar-14

LGAs surveyed 143 159 174 173 174 172 168 145 195 207 209>=90% 36% 35% 33% 39% 39% 44% 39% 32% 42% 47% 57%80 - 89.9 % 29% 26% 30% 29% 33% 34% 35% 39% 30% 34% 29%60 - 79.9 % 31% 30% 30% 27% 22% 19% 24% 27% 26% 18% 11%< 60% 5% 9% 6% 5% 5% 3% 2% 2% 3% 0% 2%

Trends in LQAs from the 11 High risk states

Trends of LQA Results in Bauchi, Borno & Yobe StatesBAUCHI BORNO

YOBE

Trends of LQA Results in Jigawa, Kaduna, Kano & Katsina States

KANO

JIGAWA KADUNA

KATSINA

KEBBI

ZAMFARA

NIGER

SOKOTO

Trends of LQA Results in Kebbi, Niger, Sokoto & Zamfara States

weekly polio update nigeria

Documents

infected lgas 13wpv1

0wpv1 n

1wpv1 n

infected states

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compatibles n

12wpv1 n

15wpv1 n